Acanthamoeba/Naegleria Culture

Test Code
23086


CPT Codes
87081

Preferred Specimen
1 mL CSF collected in a CSF collection tube • 3 mm biopsy or equivalent piece of tissue from brain, lung, cornea, or lesions • Corneal scrapings from affected area • 1 swab of conjunctiva/corneal ulcer • Both contact lenses or lens care solution from an open container already in use by patient


Minimum Volume
CSF: 0.5 mL


Instructions
For optimum recovery of organisms, sample should arrive in Chantilly Monday through Thursday a.m. as soon as possible after collection.


Transport Container
Sterile Container, leak-proof


Transport Temperature
Room temperature


Specimen Stability
Room temperature: 7 days
Refrigerated: Unacceptable
Frozen: Unacceptable


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Specimens other than listed • Specimens received dry • Received refrigerated • Received frozen • Specimens in transport media • Liver fluid • Slides • Swabs in bacterial or viral transport medium


Methodology
Culture

Setup Schedule
Set up: Daily a.m.; Report available 12-13 days


Reference Range
Not isolated


Clinical Significance
Small free-living amebae, belonging to the genera Acanthamoeba and Naegleria, have been identified as agents of human disease, causing infections of the central nervous system, cornea, lungs, and skin. These amebae are commonly found in soil, fresh water, sewage, and sludge. Acanthamoeba spp. are known to cause a chronic granulomatous amebic encephalitis, as well as a painful vision-threatening keratitis. Naegleria fowleri is implicated in primary amebic meningoencephalitis, an acute fulminating disease that is often fatal.


Performing Laboratory
Quest Diagnostics Nichols Institute-San Juan Capistrano, CA
33608 Ortega Highway
San Juan Capistrano, CA 92675-2042




The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.